SLS 20RS-602 ENGROSSED 2020 Regular Session SENATE BILL NO. 418 BY SENATOR TALBOT LIABILITY INSURANCE. Enacts the Omnibus Premium Reduction Act of 2020. (1/1/21) 1 AN ACT 2 To amend and reenact Civil Code Articles 3492 and 3493.10, Code of Civil Procedure 3 Article 1732(1) and R.S. 22:1269 (B), to enact R.S. 9:2800.25, and to repeal R.S. 4 22:333(E) and R.S. 32:295.1(E), relative to liability; to provide relative to civil 5 liability and to motor vehicle liability coverage; to extend the general prescriptive 6 period for delictual actions involving motor vehicle accidents; to prohibit the court 7 from awarding a plaintiff the amount of medical expenses reduced or paid by a 8 collateral source; to provide relative to collateral source, prescription, jury trials, and 9 jury trial thresholds under certain circumstances; to provide relative to the right of 10 direct action against an insurer; to repeal provisions prohibiting certain evidence 11 regarding the failure to wear safety belts; to require certain annual rate filings with 12 the commissioner of insurance; to provide for a mandatory rate reduction under 13 certain circumstances; to provide for an effective date; and to provide for related 14 matters. 15 Be it enacted by the Legislature of Louisiana: 16 Section 1. The provisions of this Act shall be known as the "Omnibus Premium 17 Reduction Act of 2020". Whereas motor vehicle accident claims comprise a major portion Page 1 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 418 SLS 20RS-602 ENGROSSED 1 of the lawsuits filed in Louisiana's state courts, and whereas the enactment of civil justice 2 reforms and their general applicability have a positive effect toward the reduction of the cost 3 of motor vehicle insurance, the "Omnibus Premium Reduction Act of 2020" is designed to 4 achieve a significant reduction in the premium rate of motor vehicle accidents and insurance 5 by legislating in regard not only to the specific motor vehicle accidents and insurance suits, 6 but also to civil law issues of general applicability. A second purpose of the Omnibus 7 Premium Reduction Act of 2020 is to further encourage all persons who own or operate 8 motor vehicles on the public streets and highways of this state to comply with the Motor 9 Vehicle Safety Responsibility Law by correcting the imbalances and abuses which are 10 prevalent in Louisiana's current civil law and motor vehicle insurance systems, thereby 11 resulting in a direct cost savings to all citizens of the state of Louisiana. 12 Section 2. Civil Code Article 3492 and 3493.10 are hereby amended and reenacted 13 to read as follows: 14 Art. 3492. Delictual actions 15 Delictual actions Except as provided in Civil Code Article 3493.10, 16 delictual actions are subject to a liberative prescription of one year. This 17 prescription commences to run from the day injury or damage is sustained. It does 18 not run against minors or interdicts in actions involving permanent disability and 19 brought pursuant to the Louisiana Products Liability Act or state law governing 20 product liability actions in effect at the time of the injury or damage. 21 * * * 22 Art. 3493.10. Delictual actions; two-year prescription; criminal act 23 Delictual actions for injury or damage arising from the operation or 24 control of any motor vehicle, aircraft, watercraft, or other means of conveyance, 25 or those which arise due to damages sustained as a result of an act defined as a crime 26 of violence under Chapter 1 of Title 14 of the Louisiana Revised Statutes of 1950, 27 except as provided in Article 3496.2, are subject to a liberative prescription of two 28 years. This prescription commences to run from the day injury or damage is 29 sustained. It does not run against minors or interdicts in actions involving Page 2 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 418 SLS 20RS-602 ENGROSSED 1 permanent disability and brought pursuant to the Louisiana Products Liability 2 Act or state law governing product liability actions in effect at the time of the 3 injury or damage. 4 Section 3. Code of Civil Procedure Article 1732(1) is hereby amended and reenacted 5 to read as follows: 6 Art. 1732. Limitation upon jury trials 7 A trial by jury shall not be available in: 8 (1) A suit where the amount of no individual petitioner's cause of action 9 exceeds fifty five thousand dollars exclusive of interest and costs, except as follows: 10 (a) If an individual petitioner stipulates or otherwise judicially admits sixty 11 days or more prior to trial that the amount of the individual petitioner's cause of 12 action does not exceed fifty five thousand dollars exclusive of interest and costs, a 13 defendant shall not be entitled to a trial by jury. 14 (b) If an individual petitioner stipulates or otherwise judicially admits for the 15 first time less than sixty days prior to trial that the amount of the individual 16 petitioner's cause of action does not exceed fifty five thousand dollars exclusive of 17 interest and costs, any other party may retain the right to a trial by jury if that party 18 is entitled to a trial by jury pursuant to this Article and has otherwise complied with 19 the procedural requirements for obtaining a trial by jury. 20 (c) Notwithstanding Subsubparagraphs (a) and (b) of this Subparagraph, if, 21 as a result of a compromise or dismissal of one or more claims or parties which 22 occurs less than sixty days prior to trial, an individual petitioner stipulates or 23 otherwise judicially admits that the amount of the individual petitioner's cause of 24 action does not exceed fifty five thousand dollars exclusive of interest and costs, a 25 defendant shall not be entitled to a trial by jury. 26 * * * 27 Section 4. R.S. 9:2800.25 is hereby enacted to read as follows: 28 §2800.25. Recoverable medical expenses; collateral sources; limitations; 29 evidence Page 3 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 418 SLS 20RS-602 ENGROSSED 1 A. For the purpose of this Section, the following terms shall mean: 2 (1) "Health insurance issuer" means an health insurance coverage 3 through a policy or certificate of insurance subject to regulation of insurance 4 under state law, health maintenance organization, employer sponsored health 5 plan, the office of group benefits, and an equivalent federal or state health plan. 6 (2) "Medical provider" means any healthcare provider, hospital, 7 ambulance service, or their heirs or assignees. 8 B. In cases where a plaintiff's medical expenses have been paid, in whole 9 or in part, by a health insurance issuer, Medicaid, or Medicare to a contracted 10 or participating medical provider, the plaintiff's recovery of medical expenses 11 is limited to the amount actually paid to the medical provider by the health 12 insurance issuer, Medicaid, or Medicare and any applicable cost sharing 13 amount, and not the amount billed. 14 C. In cases where a plaintiff's medical expenses are paid pursuant to the 15 Workers' Compensation Law as provided in R.S. 23:1020.1 et seq., a plaintiff's 16 recovery of medical expenses is limited to the amount payable under the 17 medical payments fee schedule of the Workers' Compensation Law. 18 D. In an action for damages where a person suffers injury, death, or loss, 19 the court may receive evidence concerning any amount which has been paid or 20 contributed as of the date it enters judgment, by or on behalf of, the claimant 21 or members of his immediate family to secure his right to any private insurance 22 benefit which he has received as a result of such injury or death. 23 Section 5. R.S. 22:1269(B) is hereby amended and reenacted to read as follows: 24 §1269. Liability policy; insolvency or bankruptcy of insured and inability to effect 25 service of citation or other process; direct action against insurer 26 * * * 27 B.(1) The injured person or his survivors or heirs mentioned in Subsection 28 A of this Section, at their option, shall have a right of direct action against the insurer 29 within the terms and limits of the policy; and, such action may be brought against the Page 4 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 418 SLS 20RS-602 ENGROSSED 1 insurer alone, or against both the insured and insurer jointly and in solido, in the 2 parish in which the accident or injury occurred or in the parish in which an action 3 could be brought against either the insured or the insurer under the general rules of 4 venue prescribed by Code of Civil Procedure Art. 42 only; however, such action may 5 be brought against the insurer alone only when at least one of the following applies: 6 (a) The insured has been adjudged bankrupt by a court of competent 7 jurisdiction or when proceedings to adjudge an insured bankrupt have been 8 commenced before a court of competent jurisdiction. 9 (b) The insured is insolvent. 10 (c) Service of citation or other process cannot be made on the insured. 11 (d)(b) When the cause of action is for damages as a result of an offense or 12 quasi-offense between children and their parents or between married persons. 13 (e) When the insurer is an uninsured motorist carrier. 14 (f)(c) The insured is deceased. 15 (2) This right of direct action shall exist whether or not the policy of 16 insurance sued upon was written or delivered in the state of Louisiana and whether 17 or not such policy contains a provision forbidding such direct action, provided the 18 accident or injury occurred within the state of Louisiana. may be brought against 19 the insurer alone in the parish in which the accident or injury occurred or in the 20 parish in which an action could be brought against either the insured or the 21 insurer under the general rules of venue prescribed in this by Code of Civil 22 Procedure Article 42 only. Nothing contained in this Section shall be construed to 23 affect the provisions of the policy or contract if such provisions are not in violation 24 of the laws of this state. 25 (3) When the circumstances enumerated in Paragraph (1) of this 26 Subsection do not apply, neither the injured person nor the survivors or heirs 27 mentioned in Subsection A of this Section shall have a right of direct action 28 against the insurer. The injured person or his survivor or heirs shall bring an 29 action against the insured, wherein a court of competent jurisdiction may Page 5 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 418 SLS 20RS-602 ENGROSSED 1 render a finding of liability and damages against the insured. Nothing contained 2 in this Section shall be construed to affect the insured's right to enforce the 3 provisions of the policy or contract against insurer. 4 * * * 5 Section 6. R.S. 22:333(E) and R.S. 32:295.1(E) are hereby repealed in their entirety. 6 Section 7. Pursuant to the provisions of this Act, every motor vehicle insurer 7 authorized to transact business in the state of Louisiana shall make a motor vehicle policy 8 rate filing with the Department of Insurance at least once every twelve months for the 9 thirty-six-month period following the effective date of this Act and shall reduce rates when 10 actuarially justified. 11 Section 8. For policies of personal private passenger automobile insurance issued or 12 renewed one year following the effective date of this Act, each insurer shall file with the 13 commissioner of insurance for approval premium rates which actuarially reflect the savings 14 it anticipates as a result of this Act, which is presumed to be ten percent lower for each 15 impacted coverage, when compared to the premium rates in effect for that coverage on the 16 date of enactment. Each such insurer shall have the right to request all or partial relief from 17 the presumed roll-back amount of ten percent on each impacted coverage, if it can 18 demonstrate to the commissioner of insurance that it has not experienced a sufficient 19 reduction in loss costs to actuarially justify the full amount of presumed savings of ten 20 percent. Any filing with premium rates that provides for the ten percent reduction or more 21 for each impacted coverage shall be deemed approved, if not disapproved, thirty days after 22 filing. This Section does not prohibit an increase for any individual insurance policy 23 premium if the increase results from an increase in the risk of loss. 24 Section 9. The provisions of Section 3 of this Act regarding limitations upon jury 25 trials shall have prospective application only and shall not apply to a cause of action arising 26 or action pending prior to the effective date of this Act. 27 Section 10. This Act shall become effective on January 1, 2021. The original instrument was prepared by Xavier I. Alexander and the following digest, which constitutes no part of the legislative instrument, was prepared by Margaret M. Corley. Page 6 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 418 SLS 20RS-602 ENGROSSED DIGEST SB 418 Engrossed 2020 Regular Session Talbot Proposed law creates the Omnibus Premium Reduction Act of 2020, which has as its general purpose the reduction of the cost of motor vehicle insurance by legislation in regard to civil law and insurance policies. Present law provides a general one-year liberative prescriptive period for delictual actions (C.C. Art. 3492), and a two-year period for delictual actions for damages arising from an act defined as a crime of violence, except for any act of sexual assault which is subject to a liberative prescription of three years. (C.C. Art. 3493.10). Proposed law increases the general one-year prescriptive period for delictual actions for injury or damages arising from the operation of any motor vehicle, aircraft, watercraft, or other means of conveyance to a two-year prescriptive period and retains the liberative prescription of three years for any act of sexual assault. Present law (C.C.P. Art. 1732) authorizes a jury trial when the amount in controversy exceeds $50,000. Proposed law reduces the threshold for a jury trial to $5,000. Proposed law (R.S. 9:2800.25) provides for definitions: (1)"Health insurance issuer" means a health insurance coverage through a policy or certificate of insurance subject to regulation of insurance under state law, health maintenance organization, employer sponsored health plan, the office of group benefits, and an equivalent federal or state health plan. (2)"Medical provider" means any healthcare provider, hospital, ambulance service, or their heirs or assignees. Proposed law provides that in cases where a plaintiff's medical expenses have been paid, in whole or in part, by a health insurance issuer, Medicaid, or Medicare to a contracted or participating medical provider, the plaintiff's recovery of medical expenses is limited to the amount actually paid to the medical provider by the health insurance issuer, Medicaid, or Medicare and any applicable cost sharing amount, and not the amount billed. Proposed law provides that when a plaintiff's medical expenses have been paid by a health insurance company or Medicare, plaintiff's recovery of medical expenses is limited to the amount actually paid to the healthcare provider by the insurer or Medicare, and not the amount billed. Proposed law provides that where a plaintiff's medical expenses are paid pursuant to the Workers' Compensation Law (WCL), recovery of medical expenses is limited to the amount payable under the medical payments fee schedule of the WCL. Proposed law further provides that in an action where a person suffers injury, death, or loss, the court may receive evidence concerning any amount which has been paid or contributed as of the date it enters judgment, by or on behalf of, the claimant or members of his immediate family to secure his right to any private insurance benefit which he has received as a result of such injury or death. Present law (R.S. 22:1269 (B)) provides relative to liability policies and direct action against an insurer. Present law provides that an injured third party has the right to take direct legal action Page 7 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 418 SLS 20RS-602 ENGROSSED against the insurer if that right is provided for within the terms and limits of the policy. Provides for action against the insurer alone if at least one of the following applies: (1)The insured has been adjudged bankrupt by a court of competent jurisdiction or proceedings to adjudge an insured bankrupt have been commenced before a court of competent jurisdiction. (2)The insured is insolvent. (3)Service of citation or other process cannot be made on the insured. (4)The cause of action is for damages resulting from an offense or quasi-offense between children and parents or between married persons. (5)The insurer is an uninsured motorist carrier. (6)The insured is deceased. Proposed law provides for action against the insurer alone if at least one of the following applies: (1)The insured has been adjudged bankrupt or bankruptcy proceedings have commenced in a court of competent jurisdiction. (2)The cause of action is for damages as a result of an offense or quasi-offense between children and their parents or between married persons. (3)The insured is deceased. Proposed law further provides that if none of the above circumstances are applicable, the injured person or his survivors or heir shall bring an action against the insured. Proposed law provides that the insured's right to enforce the terms of the policy against the insurer remains unaffected. Present law provides that, if the accident or injury occurred within the state of Louisiana, the right of direct action shall exist whether or not the policy of insurance was written or delivered in the state of Louisiana and whether or not such policy contains a provision forbidding such direct action. Present law (R.S. 22:333(E)) relative to foreign or alien insurers provides that transacting of business in this state constitutes a consent to being sued by the injured person or heirs in a direct action as provided in present law. Proposed law repeals this provision. Present law (R.S. 32:295.1(E)) provides that the failure to wear a safety belt in violation of present law shall not be admitted to mitigate damages in any action to recover damages arising out of the ownership, common maintenance, or operation of motor vehicle, and the failure to wear a safety belt in violation of present law shall not be considered evidence of comparative negligence. Proposed law repeals this provision. Proposed law provides that pursuant to its provisions every motor vehicle insurer authorized to transact business in the state shall make a motor vehicle policy rate filing with the Dept. of Insurance at least once every 12 months for the 36-month period following the effective date of the proposed law and shall reduce rates when actuarially justified. Page 8 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 418 SLS 20RS-602 ENGROSSED Proposed law further provides that for policies of personal private passenger automobile insurance issued or renewed one year following the effective date of the proposed law, each insurer shall file with the commissioner of insurance for approval premium rates which actuarially reflect the savings it anticipates as a result of the proposed law, which is presumed to be 10% lower for each impacted coverage, when compared to the premium rates in effect for that coverage on the date of enactment of the proposed law. Also provides that each such insurer shall have the right to request all or partial relief from the presumed roll-back amount of 10% on each impacted coverage, if it can demonstrate to the commissioner of insurance that it has not experienced a sufficient reduction in loss costs to actuarially justify the full amount of presumed savings of 10%. Proposed law further provides that any filing with premium rates that provide for the 10% reduction or more for each impacted coverage shall be deemed approved, if not disapproved, 30 days after filing. Proposed law also provides that it does not prohibit an increase for any individual insurance policy premium if the increase results from an increase in the risk of loss. Proposed law provides that the provisions of proposed law regarding limitations upon jury trials shall have prospective application only and shall not apply to a cause of action arising or action pending prior to the effective date of proposed law. Effective January 1, 2021. (Amends C.C. Arts. 3492 and 3493.10, C.C.P. Art. 1732(1), and R.S. 22:1269(B); and adds R.S. 9:2800.25; repeals R.S. 22:333(E) and R.S. 32:295.1(E)) Summary of Amendments Adopted by Senate Committee Amendments Proposed by Senate Committee on Judiciary A to the original bill 1. Provides for technical changes. 2. Provides for definitions: (1) "Health insurance issuer" means a health insurance coverage through a policy or certificate of insurance subject to regulation of insurance under state law, health maintenance organization, employer-sponsored health plan, the office of group benefits, and an equivalent federal or state health plan. (2) "Medical provider" means any healthcare provider, hospital, ambulance service, or their heirs or assignees. 3. Provides for proposed law that in cases where a plaintiff's medical expenses have been paid, in whole or in part, by a health insurance issuer, Medicaid, or Medicare to a contracted or participating medical provider, the plaintiff's recovery of medical expenses is limited to the amount actually paid to the medical provider by the health insurance issuer, Medicaid, or Medicare and any applicable cost sharing amount, and not the amount billed. 3. Repeals provisions of present law (R.S. 32:295.1(E)) that provides that the failure to wear a safety belt in violation shall not be admitted to mitigate damages in any action to recover damages arising out of the ownership, common maintenance, or operation of motor vehicle, and the failure to wear a safety belt in violation of shall not be considered evidence of comparative negligence. Page 9 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 418 SLS 20RS-602 ENGROSSED 4. Provides that the provisions of proposed law regarding limitations upon jury trials shall have prospective application only and shall not apply to a cause of action arising or action pending prior to the effective date of proposed law. Page 10 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.